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Case Report

An Unusual Pituitary Mass Revealing a Primary Hypothyroidism!

Endocrinology Department, Hôpital Militaire d’Instruction Mohammed V, Rabat, Morocco
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Author to whom correspondence should be addressed.
Clin. Pract. 2015, 5(1), 733; https://doi.org/10.4081/cp.2015.733
Submission received: 8 November 2014 / Revised: 20 December 2014 / Accepted: 2 February 2015 / Published: 31 March 2015

Abstract

Autoimmune hypothyroidism is a common medical condition. Its revelation by thyrotrophic hyperplasia is an unusual and may be misdiagnosed as a pituitary adenoma. A 35-year-old man is referred to us for endocrinological assessment before surgery of a pituitary macroadenoma with bitemporal hemianopsia. Biological data reveal profound primary hypothyroidism. With thyroid hormone substitution, the thyroid function was normalized. Follow-up magnetic resonance imaging, showed the complete shrinkage of the pituitary mass attesting of a thyrotrophic pituitary hyperplasia. This case highlights the importance of a multidisciplinary assessment of pituitary masses to avoid unnecessary surgery and to prevent consequences of sellar masses.
Keywords: primary hypothyroidism; pituitary hyperplasia; pituitary macroadenoma; autoimmune thyroiditis primary hypothyroidism; pituitary hyperplasia; pituitary macroadenoma; autoimmune thyroiditis

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MDPI and ACS Style

Moumen, A.; Meftah, A.; El jadi, H.; Elmoussaoui, S.; Belmejdoub, G. An Unusual Pituitary Mass Revealing a Primary Hypothyroidism! Clin. Pract. 2015, 5, 733. https://doi.org/10.4081/cp.2015.733

AMA Style

Moumen A, Meftah A, El jadi H, Elmoussaoui S, Belmejdoub G. An Unusual Pituitary Mass Revealing a Primary Hypothyroidism! Clinics and Practice. 2015; 5(1):733. https://doi.org/10.4081/cp.2015.733

Chicago/Turabian Style

Moumen, Amal, Azzelarab Meftah, Hamza El jadi, Souad Elmoussaoui, and Ghizlaine Belmejdoub. 2015. "An Unusual Pituitary Mass Revealing a Primary Hypothyroidism!" Clinics and Practice 5, no. 1: 733. https://doi.org/10.4081/cp.2015.733

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